# UNIVERSITY OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vine School Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366756082
- **Authorized official:** NAN M GAYLORD PH.D, CPNP (DIRECTOR)
- **Authorized official phone:** (865) 594-5078

## Contact information

- **Practice address:** 220 LANGLAND STREET, KNOXVILLE, TN 37915
- **Practice address phone:** (865) 594-5078
- **Practice address fax:** (865) 594-3921
- **Mailing address:** 220 LANGLAND STREET, KNOXVILLE, TN 37915
- **Mailing address phone:** (865) 594-5078
- **Mailing address fax:** (865) 594-3921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0200X | Pediatric Clinical Nurse Specialist | — | NULL | Yes |
| 364SP0200X | Pediatric Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2010
- **Last updated:** 08/05/2010